Aortic Aneurysm; Doppler Testing

Question

12 years ago I was diagnosed with abdominal aortic aneurysm. It has progressed to 5.4 centimeters. My doctors scheduled a CAT scan.

Answer

Why are they not operating on it? I recommend you look at being admitted and having the operative procedure done. When it hits 5 centimeters things can go from bad to worse very quickly.
Get a CAT scan, but schedule the repair procedure.

That is just what you have to do. If they are going to do a CAT scan at all, the goal is to verify the fact that there is not a mural thrombus present, but you can do the same thing with an ultra sound.

I would be looking at taking 6 or 8 weeks off work and getting the procedure done. It is called an abdominal aortic aneurysm resection.

What you need to do next is to make sure that the arteries to the legs do not have any restriction in blood flow. You have to know what the run off is. Somebody needs to check dopplers on your legs to make sure that you are a good candidate for this. There is an easy way to do it, which is called a segmental ABI. That is a non-invasive way to get the job done.

My recommendations regarding your abdominal aortic aneurysm come with a sense of urgency, and are not things that you want to be planning for next year, if you get my drift.

David S Klein, MD

David S. Klein, MD, FACA, FACPM was born in Washington, DC, and was raised in Chevy Chase, Maryland. He completed his undergraduate education at the University of Maryland with degrees in Chemistry and Psychology. Medical School was completed at the University of Maryland at Baltimore, followed by Internship in General Surgery at the University of North Carolina and Residency in Anesthesiology at the Duke University, Durham, North Carolina. Dr Klein has been practicing medicine since 1983, concentrating in Pain Medicine, Minimally Invasive Medicine and Surgery, and Neuroendocrinology. Earning Board Certification in Anesthesiology, Dr. Klein was elected Fellow in the American College of Anesthesiology, and he was elected Fellow in the American College of Pain Medicine. He is currently an adjunct Associate Professor at the University of Central Florida, School of Medicine. He has focused his private practice on treating patients with hormone imbalance issues, nutritional deficiency related medical problems as well as pain related issues and impairment. With a highly-complex, CLIA licensed laboratory in-house, he has been able to provide rapid-turn around analysis efficiently and cost-effectively. Lecturing extensively nationally as well as internationally, Dr. Klein has authored many articles on topics relating to pain, injury and nutritionally modulated illness. His radio show, “Pain Free Living,” received top ratings during the 6 years it was on the air. Currently practicing in Longwood, Florida, Dr. Klein practices entirely in the office setting.

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